Individual
JEANNE MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6440
Mailing address
3550 N INTERSTATE AVE, KAISER PERMANENTE INTERSTATE MEDICAL OFFICE EAST, PORTLAND, OR 97227-1196
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
MD00038073
WA
2080P0210X
Pediatric Nephrology Physician
Primary
MD18994
OR
Other
Enumeration date
09/03/2006
Last updated
02/04/2022
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